HEAL YOUR LIFE® COACHING

Heal Your Life Coaching is a 1-on-1 personalised experience that will help you take a closer view of yourself, your actual needs and necessary goals, using the five-strategy method that Louise Hay mastered and coached forward.

WHAT DOES A CLOSER VIEW MEAN TO YOU?

Does it mean:

  • Creating Healthier boundaries and finally having the courage to say NO when you mean NO?
  • Cultivating habits that reverse procrastination and self-doubt?
  • Becoming clear about the source of your desires and ruling out false positives?
  • Finally taking a strategic and planned approach to your health, wealth and relationships?
  • Holding yourself accountable to change, chance and constructive action?
  • Divorcing yourself from lack and building a union with potential possibilities?

We encourage you to complete this form when you are in a quiet place, undisturbed and able to be with yourself to share as honestly as possible what brings you to taking the step towards your personal growth and healing. 

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Email *
Today's Date.
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First and Last Name *
Contact Number *
Date of birth *
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Nationality *
What language/s do you speak? *
Have you worked with any Life Coach before? Yes/No? (If yes, tell us about your experience).
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What level of experience do you have with personal growth?
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Very Little
Alot
Describe yourself in five words. *
Which area/s of your life needs your attention the most right now?
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What do you think is holding you back from having success in this area/s?
How familiar are you with the philosophy of Louise Hay and  Heal Your Life® transformational methods? *
Not familiar
Very familiar
Have you participated in any Heal Your Life® programs before? If yes, which of the following applies? *
Required
The Heal Your Life® coaching options: *
If you chose the in-person option, which City and Area would you be able to attend coaching sessions in?
Please rate your PHYSICAL HEALTH.

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Very Poor
Excellent
Please rate your EMOTIONAL HEALTH.

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Very Poor
Excellent
Please rate your PRIMARY RELATIONSHIP. (Spouse, partner or the closest person to you at the moment).

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Very Poor
Excellent
Please rate your FRIENDSHIPS.
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Very Poor
Excellent
Please rate your SPIRITUAL HEALTH.
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Very Poor
Excellent
Please rate your JOB/CAREER.
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Very Poor
Excellent
Please rate your FINANCIAL PROSPERITY.
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Very Poor
Excellent
Please rate your SENSE OF PURPOSE.
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Very Poor
Excellent
Please rate your ASSERTIVE ABILITY. (Your ability to say No and create self-sustaining boundaries).
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Very Poor
Excellent
Please rate your TIME MANAGEMENT.
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Very Poor
Excellent
Please rate your RELATIONSHIP WITH SELF.
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Very Poor
Excellent
What else would you like your coach to know about you? *
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